A Study on Immunotherapy Combined With Radiotherapy for Esophagogastric Junction/Gastric Adenocarcinoma

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorJiangsu Cancer Institute & Hospital

About this trial

A single-arm, prospective phase II clinical study of neoadjuvant PD-1/CTLA-4 combination antibody with low-dose radiotherapy in resectable dMMR/MSI-H esophagogastric junction/gastric adenocarcinoma.

Eligibility criteria

Qualifiers

Patients voluntarily participate in this study, sign the informed consent form, demonstrate good compliance, and agree to follow-up;

Patients with esophagogastric junction/gastric adenocarcinoma (Siewert type II/III) confirmed by endoscopic pathology (note: pathologies from other hospitals must be reviewed at our hospital), with dMMR/MSI-H status confirmed by immunohistochemistry or genetic testing;

Based on endoscopic, CT, MRI, or PET-CT findings, AJCC 8th edition staging is cT1-2N1-3M0 or T3-T4aN0-3M0;

Age between 18 and 80 years, inclusive of both 18 and 80, both genders are eligible;

Disqualifiers

History of surgery for gastric or gastroesophageal junction tumor;

Immunohistochemistry or genetic testing shows pMMR, MSI-L, or MSS;

High risk of gastrointestinal bleeding or perforation;

Poor nutritional status, BMI < 18.5 kg/m², or PG-SGA score ≥ 9;

Trial design

Treatments tested in this trial

  • PD-1/CTLA-4 combination antibody with low-dose radiotherapy

Treatment groups

20 Participants
are divided into 1 treatment group

Locations

This trial has no locations